Adriana Park, MSN, BSN, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

838308 Issued in NV

Practice address

5520 Manse Rd
Pahrump, NV 89061-7005

Phone

(559) 623-6057

NPI assigned

Mar 19, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Adriana Carmona Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1831999648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 MANSE RD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890617005",
            "telephone_number": "559-623-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 MANSE RD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890617005",
            "telephone_number": "559-623-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ADRIANA",
        "credential": "MSN, BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "651409",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "L-84670",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "NV",
            "license": "838308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "CARMONA",
            "credential": "SAME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marie Loren Chiong Palisoc
• Paragon Healthcare
• Paragon Healthcare of Pahrump, LLC.
• Paragon Outpatient Therapy Services LLC
• Angela M Parisi
• Carla Parker
• Laurie Jean Parker, LADC
• Tina Marie Parks
• Okany Parra
• Pamela Jean Patten, DDS

• Case Management Registered Nurse in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Case Management Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.